Individual
JESSICA LOPEZ NAVARRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1825 E NORTHERN AVE, PHOENIX, AZ 85020-3940
(480) 269-7591
Mailing address
10021 N 36TH ST, PHOENIX, AZ 85028-3942
(480) 269-7195
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-24316
AZ
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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